IU School of Medicine Student Portal

Elective Title: 82AN710 — ADVANCED COMMUNITY ANESTHESIOLOGY

Description:

This clerkship is directed to those students seriously considering a career in the medical field of Anesthesiology. The student will participate in many aspects of the perioperative care experience that will prepare them for residency training in Anesthesiology. In addition to clinical experience, didactics will include teaching and discussion during patient care activities and lectures. Self study will be mandatory through assigned readings. Successful completion will be based on interpersonal interactions with other professionals and patients, demonstration of basic skill competencies related to introductory level training in anesthesiology including airway management, invasive monitoring techniques, intravascular access and anesthetic techniques. The student will participate in all available aspects of perioperative medicine related to the practice of anesthesiology.

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Learning Objectives

• 1) Perform preanesthesia evaluation (PC1)
• 2) Assign and justify ASA Physical Status Classification (PC2)
• 3) Integrate data from a clinical encounter to develop a patient-centered plan of care (PC3)
• 4) Provide justifications for interventions and management of a specific patient’s diseases, injuries, and functional deficits of organ systems (MK4)
• 5) Perform airway evaluation, including recognition of potentially difficult airway (PC1)
• 6) Perform airway evaluation, including recognition of potentially difficult airway (PC1)
• 7) Effectively manage bag-mask ventilation and use of airway adjuncts (PC4)
• 8) Perform endotracheal intubation with standard equipment as well as advanced airway equipment and laryngeal mask airway insertion (PC4)
• 9) Successfully manage emergence and extubation in a safe manner (PC4)
• 10) Recognize the situation where immediate extubation of a patient postoperatively is not in the patient’s best interest (PC3)
• 11) Demonstrate adequate knowledge in anatomy, physiology, pathology, and pharmacology (MK2)
• 12) Demonstrate the ability to make appropriate diagnostic and therapeutic decisions based on limited information (MK4)
• 13) Demonstrate ability to remain vigilant to task during long periods of stable maintenance of anesthesia and then calm, rational, efficient, and effective at times of patient instability and crisis (P2)
• 14) Demonstrate safe and competent skill in selecting and performing procedural tasks which may include placement of peripheral IV’s, central venous access via internal jugular, subclavian and/or femoral approaches, arterial lines, pulmonary artery catheters, transesophageal echocardiography, lumbar epidurals, intrathecal injections and peripheral nerve blocks (PC4)
• 15) Demonstrate appropriate transfer of care between providers or settings (PC5)
• 16) Manage postoperative care through appropriate selection of postoperative orders (PC3)
• 17) Successfully manage postoperative complications such as acute pain, nausea/vomiting, hemodynamic instability, and respiratory distress (PC3, MK4)
• 18) The student will spend at least one day assigned to the post anesthesia care unit. Participate in postoperative visits to assess success of the anesthetic management and patient satisfaction (SBP1)
• 19) Understand the surgical department environment and management and need for efficiency while maintaining patient safety as a primary responsibility (SBP4)

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Assessment

• Clinical Performance Evaluation Form; (Clinical Observation).

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Enrollment Information

Prerequisites: 3rd or 4th year status (Must have completed Anesthesia Clerkship)

Availability with Max Students per Month:

Apr	May	June	July	Aug	Sept	Oct	Nov	Dec	Jan	Feb	Mar
1	1	1	1	1	0	0	1	1	1	1	1

Duty Hours: Not to exceed policy; must participate in call responsibility of assigned faculty.

Time Distribution: 80%Clinical; 10% Library/Research; 10% Lecture/Seminar

Elective Type Category: AC - Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Caren Whitehouse (whitca@iu.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH: Contact Caren Whitehouse (whitca@iu.edu) at IUSM-Evansville for enrollment permission. Priority will be given to 4th-year students, with consideration of 3rd-year students who have completed their clerkship. Elective is only offered for IUSM students, not available for students from other schools.

Third Year Elective? Yes

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Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None